11 results
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... rupture, VSD, etc ... Arrhythmias / CHB ... inopressors #diagnosis #management ... #comparison #table
Vasopressors and Inotropes
 • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
, HOCM, etc ... Vasopressors #Inotropes #management ... #criticalcare # ... summary #comparison ... #table #pharmacology
Checklist Approach to Hypokalemia

Consider risk factors for arrhythmia:
 - EKG changes (especially QT prolongation)
 - Digoxin
changes (especially QT ... incongruous with clinical ... NPO, or profound shock ... Internet Book of Critical ... #Management #CriticalCare
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
ECG is vital while ... #differential #algorithm ... #treatment #table ... #heartfailure #chf ... #criticalcare #
Overview of antifungal agents benefits, weaknesses, and adverse effects in the treatment of Coccidioidomycosis.
Fluconazole - Low
Hepatotoxicity, QTc ... tolerable • Limited clinical ... #valleyfever #management ... #antifungals #comparison ... #table #pharmacology
Admitting in the ICU - Checklist
VITALS: If bad, stop and go see the patient immediately; you
hyponatremia, AKI, etc ... esp in work-up/management ... of shock MICRO ... will also get an EKG ... diagnosis #workup #criticalcare
Posterior Reversible Encephalopathy Syndrome (PRES) Overview

Clinico-Radiological Syndrome, characterized by:
 • Headache
 • Seizures
 • Altered mental
brain PRES Clinical ... Infection/Sepsis/Shock ... Blood transfusion, Hypercalcemia ... • EEG: With persistent ... Syndrome #diagnosis #management
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
Clinical • Under-recognized ... May have typical HF ... Pts: cardiogenic shock ... Delivery • Stable ... support for patients clinically
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
disease b) CHF ... event, follow ACC algorithm ... Obtain EKG if: ... Change in clinical ... medical and surgical management
Perhaps quite too often, the knee-jerk reaction to an elevated Troponin is to call our friends
heart (Sepsis, Shock ... are typically able ... #diagnosis #algorithm ... echocardiogram #management ... #clinical #criticalcare